Provider Demographics
NPI:1437812500
Name:MCALPINE, KANDICE (PA-C)
Entity Type:Individual
Prefix:
First Name:KANDICE
Middle Name:
Last Name:MCALPINE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3992 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-1019
Mailing Address - Country:US
Mailing Address - Phone:513-939-5353
Mailing Address - Fax:
Practice Address - Street 1:4201 AERO DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8818
Practice Address - Country:US
Practice Address - Phone:513-770-4122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47492080A0000X
OH50.006953RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine